Smith Street Pharmacy Corporation

LBN: Smith Street Pharmacy Corporation
Smith Street Pharmacy Corporation is an health care organization with primary practice located at 269 Mansion St , Poughkeepsie NY 12601-2623. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Smith Street Pharmacy Corporation can be contacted via phone (845) 471-6440, or through Dittenhoefer, Timothy via phone (845) 471-6440.

Contact Information

Primary practice address
269 Mansion St Poughkeepsie NY 12601-2623
Phone: (845) 471-6440
Fax: (845) 471-7258
Website:
Map and Directions
Authorized official contact:
Name: Dittenhoefer, Timothy
Phone: (845) 471-6440

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 025253 New York

Profile Details

NPI number 1386742294
LBN Legal business name Smith Street Pharmacy Corporation
DBA Doing business as
Authorized official Dittenhoefer, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386742294 NPPES
New York MEDICAID 02254240

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